| NPI | 1053567313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0092646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121639) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MS 24583) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-12-08 |