| NPI | 1891975306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WI 53048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007001635) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2019-12-02 |