| NPI | 1033514195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35131315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35131315) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2022-02-12 |