| NPI | 1295267458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.015369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305439) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-02-04 |