| NPI | 1396787487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.086815) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.086815) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-03-13 |