| NPI | 1962620294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35089621) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: OH 35. 089621) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-04-14 |