| NPI | 1851787998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101275638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.133301) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-01-06 |