| NPI | 1245728765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.017945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 2313) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2025-07-08 |