| NPI | 1801960836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D67497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078736) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-11-16 |