| NPI | 1356638613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P1004X Pediatrics, Physician Nutrition Specialist (Licence: SC 93899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS t-2504) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS19066) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C2-0012727) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2026-09-22 |