| NPI | 1063787117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35123204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35123204) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35123204) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-03-09 |