| NPI | 1689101552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KY 53801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 009047) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 53801) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-09-07 |