| NPI | 1215968573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 35.072650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 350-07-2650) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-02-25 |