| NPI | 1578094488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301502164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.030203) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-07-19 |