| NPI | 1497855571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.050225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301050647) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-03-25 |