| NPI | 1528029303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C127913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35087043) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-01-12 |