| NPI | 1619321296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 34.013928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.013928) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-08-04 |