NPI | 1033389879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL 121872) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.203018) |
2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: FL 121872) | |
2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: LA MD.203018) | |
Enumeration Date | 2008-03-07 |
Last Update Date | 2018-04-25 |