| NPI | 1649807371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.155593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME160617) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME160617) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-07-20 |