| NPI | 1225362544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35123155) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G67175) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2015-12-11 |