| NPI | 1306265533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.011945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 288097) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-06-28 |