| NPI | 1487185187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101279051) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.030225) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2023-10-05 |