| NPI | 1730717455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.149995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 76185) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2024-07-24 |