| NPI | 1841433596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 155205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M7123) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2011-07-20 |