NPI | 1689465122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 0010-15363) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-15363) |
Enumeration Date | 2025-05-14 |
Last Update Date | 2025-05-14 |