| NPI | 1104997865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA G65255) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G65255) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-11-07 |