NPI | 1952755241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MB12126700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB12126700) |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 316774) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2024-11-15 |