| NPI | 1326049081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35070944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35070944) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-04-07 |