| NPI | 1881887776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-6794) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35090237) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2026-07-28 |