| NPI | 1104185602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34-013087) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 34.013087) |
| 208000000X Pediatrics (Licence: OH 34-013087) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2018-01-03 |