| NPI | 1558788034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-02951) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141362) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-12-04 |