| NPI | 1043674864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX T8687) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL TRN28157) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-10-20 |