| NPI | 1558450460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.099262) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 28169) |
| 208000000X Pediatrics (Licence: NC 2008-00353) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-06-16 |