| NPI | 1760648745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.097301) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.097301) |
| 208000000X Pediatrics (Licence: OH 35.097301) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.097301) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-11-30 |