| NPI | 1134381155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MA 258707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258707) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2015-08-24 |