NPI | 1285836858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: LA 11725R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 11725r) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2014-01-28 |