| NPI | 1528422334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MA 283041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 38.135839) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-03-15 |