NPI | 1972536472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OH 35-084377) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-084377) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2021-12-27 |