| NPI | 1881875532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D80927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57013779) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2022-03-09 |