| NPI | 1821583766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CT 68046) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 68046) |
| 208000000X Pediatrics (Licence: MO 2018018331) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2021-06-24 |