| NPI | 1871813105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A142110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 32.121715) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-04-25 |