NPI | 1124768049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL87547) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2025-01308) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-05-08 |