| NPI | 1780811893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 39333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.060545) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-08-19 |