| NPI | 1326004391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35075073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY TL3280) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2015-11-24 |