NPI | 1134516347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX R7560) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7560) |
Enumeration Date | 2015-04-26 |
Last Update Date | 2021-08-05 |