| NPI | 1275799355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9705) | 
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX N9705) | 
| Enumeration Date | 2008-07-29 | 
| Last Update Date | 2012-12-13 |