| NPI | 1073142436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NY 321723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 321723) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-08-25 |