| NPI | 1689770513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35082756L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35082756) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-12-11 |