| NPI | 1568489557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: SC 31238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 17476) |
| 208000000X Pediatrics (Licence: SC 31238) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-09-12 |