| NPI | 1710252077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 080650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128007) |
| 208000000X Pediatrics (Licence: OH 35.128007) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2018-10-15 |