| NPI | 1275970949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.139562) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD458122) |
| 208000000X Pediatrics (Licence: PA MT203898) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-05-31 |