| NPI | 1558714857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35.136256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.136256) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-09-30 |