| NPI | 1255362927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 085786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 22601) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-11-25 |