| NPI | 1619902038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 27970) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KY 27970) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-10-06 |