| NPI | 1558866277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.142146) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.142146) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-07-24 |