| NPI | 1104354547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA OS0230404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS0230404) |
| 208000000X Pediatrics (Licence: PA OT017989) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-09-14 |