| NPI | 1770803470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 073932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-121389) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2018-08-28 |