| NPI | 1760614648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35-137908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-137908) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2022-02-17 |