| NPI | 1154535318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 240053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.009030) |
| 208000000X Pediatrics (Licence: OH 57.009030) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-091362) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-08-07 |