| NPI | 1770014003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 38138857) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD23113) |
| 207P00000X Emergency Medicine (Licence: OH 35.138857) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-06-09 |