| NPI | 1801391313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301513782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.143333) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-05-13 |