| NPI | 1841432416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.009467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45127) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2014-09-01 |