| NPI | 1790778496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: LA 021354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35C.000651) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MS 30575) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 021354) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MS 30575) | |
| 208M00000X Hospitalist (Licence: OH 35C.000651) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-08-21 |