| NPI | 1598851230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101245888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.012207) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-01-10 |