| NPI | 1295916864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-097766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57013970) |
| 208000000X Pediatrics (Licence: OH 35-097766) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2012-09-04 |