| NPI | 1265743892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 29845) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123239) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-03-26 |