| NPI | 1487970638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 48781) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121719) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-10-27 |