| NPI | 1679935951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 73771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35134552) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35134552) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-02-08 |