| NPI | 1548400963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.011855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102203142) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2015-06-25 |