| NPI | 1154529774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34010898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019836) |
| 208000000X Pediatrics (Licence: VA 0102202554) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2015-09-15 |