| NPI | 1558762203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 275022) |
| Additional Taxonomies | 2080P1004X Pediatrics, Physician Nutrition Specialist (Licence: MA 275022) |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: MA 275022) | |
| 208000000X Pediatrics (Licence: MA 275022) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2025-12-01 |