NPI | 1588169239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34015336) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34015336) |
2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 34015336) | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-07-01 |