| NPI | 1619401601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 12772397-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102205521) |
| 208D00000X General Practice (Licence: VA 0102205521) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2022-03-30 |