| NPI | 1225092604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101259234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35084829) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-01-25 |