| NPI | 1194927731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: TX Q4870) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8253842-1205) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-06-21 |