| NPI | 1235344292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D72553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.010531) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2013-02-27 |