| NPI | 1861425308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0071786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35088153) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-09-25 |