| NPI | 1619161635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35051535) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 35051535) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2022-03-15 |