| NPI | 1417362369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-13374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-131786) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2020-07-29 |