| NPI | 1306135389 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 47284) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116028500) | 
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: VA 0116028500) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.134354) | |
| Enumeration Date | 2011-03-30 | 
| Last Update Date | 2022-06-03 |