NPI | 1396004073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NY 315543-01) |
Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: PA MD453628) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2022-08-09 |