| NPI | 1114312360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61158278) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0060594) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2021-06-29 |