| NPI | 1851656201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 35.133634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.133634) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2025-06-09 |