| NPI | 1306056015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.094211) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.094211) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-01-27 |