| NPI | 1376523282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301099534) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35077322) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-10-25 |