| NPI | 1558735282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.144766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 68264) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2022-09-25 |