| NPI | 1245377274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: OH 35123467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35123467) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35123467) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-02-21 |