NPI | 1356322135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX G3677) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX G3677) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2021-12-03 |