| NPI | 1558045070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351050703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.155042) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2026-06-14 |