| NPI | 1467736363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX R7190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7190) |
| 208000000X Pediatrics (Licence: TX 45393) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX 45393) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2018-07-09 |