| NPI | 1396975199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A12020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010235) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2021-11-10 |