| NPI | 1891729299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35060563) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OH 35060563) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-12-27 |