| NPI | 1700106556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.128688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD448783) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2021-10-29 |