| NPI | 1336520196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 278282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP 03491) |
| 208000000X Pediatrics (Licence: RI LP03491) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 278282) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-03-17 |