| NPI | 1821254335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 46798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 46798) |
| 208000000X Pediatrics (Licence: OH 35.097209) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-09-28 |