| NPI | 1558452532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: NC 9700384) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: NC 9700384) |
| 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: NC 9700384) | |
| 208000000X Pediatrics (Licence: NC 9700384) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-07-11 |