| NPI | 1215907464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MA 156465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 156465) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2015-04-21 |