| NPI | 1083722904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine (Licence: MO 2014024074) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: KS 04-37315) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-12-02 |