| NPI | 1497783336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35051380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301078993) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-12-27 |