| NPI | 1225591175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V0748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35144552) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35144552) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-08-01 |