| NPI | 1487841110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 266365) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 266365) |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: NY 266365) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2024-08-15 |