| NPI | 1144615428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.014527) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.014527) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 34.014527) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-05-10 |