| NPI | 1649234352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34-00-6684) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 34006684) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-11-07 |