| NPI | 1689964900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 65563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 275321) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-07-29 |