| NPI | 1427579358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57.248362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112548) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-04-22 |