| NPI | 1801000385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 41045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089541) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-05-14 |