| NPI | 1144677287 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX S2203) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 208000000X Pediatrics (Licence: TX S2203) | |
| Enumeration Date | 2016-05-18 | 
| Last Update Date | 2022-11-09 |