| NPI | 1508067026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-092304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.007745) |
| 207L00000X Anesthesiology (Licence: OH 35-092304) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-07-06 |