| NPI | 1538788385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A194374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.249941) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-07-24 |