| NPI | 1316113335 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WA MD60420939)  | 
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MD D0064339)  | 
| Enumeration Date | 2008-04-30 | 
| Last Update Date | 2021-06-23 |