NPI | 1003369331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.143397) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.143397) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2023-10-16 |