| NPI | 1851419816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-120935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-120935) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35.120935) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-02-08 |