| NPI | 1104069962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: SC 37709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 37709) |
| 208000000X Pediatrics (Licence: VA 0101252470) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-03-21 |