| NPI | 1518491745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.013919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.013919) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-01-15 |