| NPI | 1427553809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 91571) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.245854) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-07-06 |