| NPI | 1215909551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 0094-00031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 0094-00031) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NC 0094-00031) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-07-01 |