| NPI | 1215224910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.123350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-01032) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-05-21 |