| NPI | 1245506914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35126635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35126635) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35126635) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-02-21 |