| NPI | 1972505915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: SC 86478) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: SC 86478) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 35055079) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-05-02 |