| NPI | 1427344639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-11224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH Student in Training) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2016-02-05 |