| NPI | 1336464916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02005621A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-02233) |
| 207R00000X Internal Medicine (Licence: OH 34011340) | |
| 208000000X Pediatrics (Licence: NC 2013-02233) | |
| 207R00000X Internal Medicine (Licence: IN 02005621A) | |
| 208000000X Pediatrics (Licence: OH 34011340) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34011340) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2020-01-09 |