| NPI | 1679664726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-44884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35. 079878) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-03-29 |