| NPI | 1306925110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35083837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35083837) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-03-15 |