| NPI | 1881980837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 34382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.122781) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-02-12 |