| NPI | 1245856533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.147923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020017193) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-05-23 |