| NPI | 1487761631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G47936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123129) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-09-12 |