| NPI | 1962474270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.057362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-05-7362-W) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-08-09 |