| NPI | 1871662270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.087979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-02187) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-09-29 |