| NPI | 1568656478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.132837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101245208) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2023-10-16 |