| NPI | 1467654293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010013751) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH 57008703) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 57.008703) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-03-22 |