| NPI | 1407080492 |
|---|---|
| Former Name | KIRSTEN MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: IL 036.140909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 157389) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 35.121107) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2018-05-17 |