| NPI | 1154465672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G79903) |
| Additional Taxonomies | 2080B0002X Pediatrics Obesity Medicine (Licence: CA G79903) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-07-24 |