| NPI | 1538360912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.091339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.091339) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-10-11 |