| NPI | 1306136460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 58177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35122871) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-07-10 |