| NPI | 1790124931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MI 4301117359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103335) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-12-16 |