| NPI | 1770080848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MO 2021014918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018018700) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: KS 94-09719) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-08-17 |