NPI | 1760614648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: OH 35-137908) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-137908) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2022-02-17 |