| NPI | 1790344364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OK 7552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116032947) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-05-02 |