| NPI | 1164734570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0101264932) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097290) | 
| Enumeration Date | 2010-07-14 | 
| Last Update Date | 2024-01-11 |