| NPI | 1417338781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34013325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL37682) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 34013325) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-08-31 |