| NPI | 1588156566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 330904) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-06-14 |