| NPI | 1457882623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: NC 2022-00954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.015242) |
| 207R00000X Internal Medicine (Licence: OH 34.015242) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-03-06 |