NPI | 1235447095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 34009980) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34009980) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2023-05-04 |