| NPI | 1104482660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: UT 12797464-1205) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-02-10 |