| NPI | 1578727111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.092949) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.013681) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2010-08-12 |