| NPI | 1568641561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0071717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35090503) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2018-07-16 |