| NPI | 1760630362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 2866626) |
| 208000000X Pediatrics (Licence: OH 35.097315) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2013-06-10 |