| NPI | 1386934883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WA 60461965) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 66221) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2018-06-25 |