| NPI | 1912431438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: UT 10957195-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10957195-1205) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-10-04 |