| NPI | 1609862481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.099987) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 24438) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-02-14 |