| NPI | 1811222367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 04-38148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71579) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2015-10-23 |