| NPI | 1134418288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35128063) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35128063) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-03-25 |