| NPI | 1174670038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD456456) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442767) |
| 208000000X Pediatrics (Licence: TN MD43493) | |
| 2080P1004X Pediatrics, Physician Nutrition Specialist (Licence: MN 65308) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-04-21 |