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 |