| NPI | 1285197590 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 13274783-1205)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2022-1004)  | 
| Enumeration Date | 2019-04-12 | 
| Last Update Date | 2023-03-04 |