| NPI | 1235156092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-070761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-070761) |
| 208000000X Pediatrics (Licence: FL ME130140) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME130140) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-070761) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35-070761) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-08-01 |