| NPI | 1326427626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.133376) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10241) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IA MD-48451) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-04-15 |