| NPI | 1235142100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 221166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 039624) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 221166) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CT 039624) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-04-21 |