| NPI | 1922261957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A92826) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A92826) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-04-10 |