| NPI | 1902050404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.095878) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.014008) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2013-10-04 |