NPI | 1467588855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: NY 213932) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 213932) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2023-07-13 |