| NPI | 1831392141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 47448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.087955) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-03-08 |