| NPI | 1992926810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: OH 35.092913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.092913) |
| 208000000X Pediatrics (Licence: OH 57.011600) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-11-03 |