| NPI | 1790216596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OR MD219243) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX S6036) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-15 |