| NPI | 1275833196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 58.003783) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 283440) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-07-21 |