| NPI | 1447458963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A94105) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A94105) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2025-12-05 |