| NPI | 1497986731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA C175083) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 098965) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MS 23711) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301114264) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-03-08 |