| NPI | 1740740802 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 67874) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30027) | 
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WI 85957) | |
| Enumeration Date | 2019-03-23 | 
| Last Update Date | 2025-07-02 |