| NPI | 1346442274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.010705) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-04-12 |