NPI | 1972122851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35147742) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35147742) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-01-30 |