| NPI | 1568677011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-099079) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2008003298) |
| 208000000X Pediatrics (Licence: MO 2008003298) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-09-11 |