| NPI | 1598962326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 096574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 096574) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-11-04 |