| NPI | 1245491521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301099560) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35089095) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2016-10-07 |