| NPI | 1609165786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: TN 60378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 60378) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2021-02-08 |