| NPI | 1679079529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.151580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301504314) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-08-20 |