| NPI | 1508816828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: AK 151865) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WI 48294-20) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-12-05 |