| NPI | 1851884134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 72962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141546) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-09-03 |