| NPI | 1740675545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.142684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274498) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 274498) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-07-07 |