| NPI | 1063405413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35-123029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-123029) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-123029) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2022-02-21 |