| NPI | 1881815546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.091605) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57-010745) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-04-24 |