| NPI | 1588836563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01065264A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089534) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2022-11-15 |