| NPI | 1588892483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V4441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34010645) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-01-16 |