| NPI | 1477718211 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO 51068)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A103961)  | 
| Enumeration Date | 2008-07-22 | 
| Last Update Date | 2013-06-11 |