NPI | 1679636567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.077650) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.077650) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-10-16 |