| NPI | 1811417033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34014401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34014401) |
| 208000000X Pediatrics (Licence: MI 5101023498) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-06-26 |