| NPI | 1538227103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 37629) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.087888) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-07-28 |