NPI | 1922568450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NC 2025-00591) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2025-00591) |
208000000X Pediatrics (Licence: NY 315475-01) | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2025-08-28 |