| NPI | 1194084541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 064059) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT208972) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2022-07-21 |