| NPI | 1093194672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA OS019438) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NJ 25MB12009600) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2025-01-13 |