| NPI | 1497929806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 262287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.013387) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2023-07-06 |