NPI | 1770014003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 35138857) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.138857) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2025-08-08 |