| NPI | 1598031296 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX Q3617) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q3617) | 
| Enumeration Date | 2012-03-27 | 
| Last Update Date | 2018-08-06 |