| NPI | 1467438192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 1321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 340086272) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2018-09-14 |