| NPI | 1669465548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35.057656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35057656) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2025-11-21 |