| NPI | 1831470343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 50917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 50917) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 271364) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2020-09-16 |