| NPI | 1740712447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 13442411-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.014423) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-10-22 |