| NPI | 1659628022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35.147293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101694) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 9742395-1205) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL TRN21510) | |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2023-10-05 |