NPI | 1699228296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA11546700) |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 299522-01) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2024-02-16 |