| NPI | 1881897759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MD449315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191246) |
| 208000000X Pediatrics (Licence: DE C7-0003824) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-10-30 |