| NPI | 1982264446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.151948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151948) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301506734) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-09-02 |