| NPI | 1366415200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 36417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078432D) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2024-05-13 |