| NPI | 1669521423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.092133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN7740) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-04-20 |