NPI | 1740250919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PR 10282) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 10282) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2014-12-11 |