| NPI | 1407146566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 54200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121770) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-06-03 |