| NPI | 1093014672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53259) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: KY 53259) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 53259) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2026-09-05 |