NPI | 1386934362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine (Licence: CO DR.0055059) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0055059) |
208000000X Pediatrics (Licence: CO DR.0055059) | |
Enumeration Date | 2011-04-12 |
Last Update Date | 2020-11-05 |