| NPI | 1346354297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35075835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 301878) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-08-29 |