| NPI | 1518978097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MO 2022018676) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 36493) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KY 36493) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012736) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-09-06 |