| NPI | 1265795306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125061493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 1265795306) |
| 208000000X Pediatrics (Licence: OH 35.143964) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-11-17 |