NPI | 1609162387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 74990) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2018-0009) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NM MD2018-0009) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2024-04-23 |