| NPI | 1558685537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A128712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.098587) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2014-08-27 |