| NPI | 1609884907 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA G149695)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G149695)  | 
| 208000000X Pediatrics (Licence: VA 0101229691)  | |
| Enumeration Date | 2006-08-03 | 
| Last Update Date | 2022-07-21 |