| NPI | 1902148398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD460126) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.127642) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2020-08-31 |