| NPI | 1497780696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35086523) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2316) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-08-21 |