| NPI | 1851612709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.139540) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102598) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2025-10-20 |