NPI | 1992789168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: TX P7171) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 14382) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2024-06-27 |