| NPI | 1801095856 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.009057) | 
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.009057) | 
| Enumeration Date | 2007-07-11 | 
| Last Update Date | 2025-04-29 |