| NPI | 1780737510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KY 34555) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 34555) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 34555) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2026-09-11 |