NPI | 1073825337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD448022) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197084) |
2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA MT197084) | |
Enumeration Date | 2010-07-02 |
Last Update Date | 2016-08-06 |