NPI | 1154880524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: GA 135609) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 135609) |
Enumeration Date | 2019-03-15 |
Last Update Date | 2025-07-07 |