| NPI | 1467588855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: AZ 78127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 78127) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-11-11 |