NPI | 1568916625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OR MD197784) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016022755) |
Enumeration Date | 2016-08-06 |
Last Update Date | 2024-08-22 |