| NPI | 1982643284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: NC 2012-00749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 228507) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NY 228507) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-07-24 |