| NPI | 1093179657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2022-01535) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: OH 57.028114) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT217792) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-03-05 |