| NPI | 1801050349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301107072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH Resident Status) |
| 208000000X Pediatrics (Licence: MI 4301107072) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-05-28 |