| NPI | 1700046810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q3904) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: RI MD14002) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-08-27 |