| NPI | 1669892634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017014188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-40116) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MO 2017014188) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KS 04-40116) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-07-21 |