| NPI | 1669636148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-096048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 242739) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-096048) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-03-10 |