| NPI | 1922461334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 34.013973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0067749) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-05-17 |