| NPI | 1821483439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015019325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 64212) |
| 208000000X Pediatrics (Licence: KS 94-08823) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TN 64212) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-03-17 |