NPI | 1417480146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.014452) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.014452) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2023-11-09 |