| NPI | 1275738031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57.012152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 246647) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-04-15 |