| NPI | 1528090560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.080042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.080042) |
| 208000000X Pediatrics (Licence: KY 36970) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-09-27 |