| NPI | 1457339418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35073484C) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35073484) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2021-03-08 |