| NPI | 1780616581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35145595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35145595) |
| 208000000X Pediatrics (Licence: NY 237217) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-06-08 |