| NPI | 1548465008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO DR0052908)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.089896)  | 
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD443865)  | |
| Enumeration Date | 2007-06-15 | 
| Last Update Date | 2013-09-12 |