| NPI | 1861605784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.089611) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 49101) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-09-29 |