| NPI | 1972036523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KS 04-48241) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2020017654) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-08-18 |