| NPI | 1144326364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P0350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093974) |
| 208000000X Pediatrics (Licence: MO 2006017751) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX P0350) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-02-21 |