| NPI | 1205929478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD073333L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.083356) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-23 |