| NPI | 1093120982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: NM MD2019-1078) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-01-28 |