| NPI | 1427390715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 007249) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34011542) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-12-18 |