| NPI | 1316280969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MO 2016010893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016010893) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KS 05-41982) | |
| 208000000X Pediatrics (Licence: KS 04-41982) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2025-12-02 |