| NPI | 1568874527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MT206696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206696) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-07-11 |