| 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 |