| NPI | 1568444222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35088396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088396) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-12-27 |