| NPI | 1356061964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL APRN11021478) |
| Additional Taxonomies | 2080C0008X Pediatrics Child Abuse Pediatrics |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-12-13 |