| NPI | 1518305630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A139111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A139111) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-02-03 |