| NPI | 1205298726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 298058) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57028453) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-02-19 |