| NPI | 1629131784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-11758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD38570) |
| 208000000X Pediatrics (Licence: MN 49922) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX N3483) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-03-07 |