| NPI | 1972700409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-088989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0065797) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2011-10-04 |