| NPI | 1255899340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102206218) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0102206218) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-07-08 |