| NPI | 1215191424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-096795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH AU2866626-x069) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2011-09-13 |