NPI | 1497015440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 262994) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 188290) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2024-06-14 |