NPI | 1033372891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: RI MD14548) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442550) |
208000000X Pediatrics (Licence: PA MT193447) | |
282NC0060X General Acute Care Hospital, Critical Access (Licence: PA MD442550) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2016-03-11 |