| NPI | 1467554402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD893) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: HI AMD893) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OR PA00834) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-04-21 |