| NPI | 1932142627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.085935) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-08-5935) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-06-29 |