| NPI | 1376988105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-131300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 075728) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2017-08-02 |