| NPI | 1518006964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R2035) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| 208000000X Pediatrics (Licence: LA MD.201295) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-09-21 |