| NPI | 1366881047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 35.135616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.135616) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-07-19 |