| NPI | 1063063261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA SP019292) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA SP019293) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP019292) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-11-22 |