NPI | 1114034394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine (Licence: CO DR.0051493) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D64734) |
208000000X Pediatrics (Licence: CO 0051493) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-11-05 |