| NPI | 1154842813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.149964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.149964) |
| 208000000X Pediatrics (Licence: MI 4301112319) | |
| 208000000X Pediatrics (Licence: IN 01083309A) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-02-13 |