NPI | 1629483904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: OH 35.142744) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 20140220075) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.142744) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2022-08-18 |