| NPI | 1235499922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35136841) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35136841) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2019-08-27 |