| NPI | 1770998031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A169971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A169971) |
| 208000000X Pediatrics (Licence: MO 2014019468) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-04-26 |