| NPI | 1578980967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 288685) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288685) |
| 208000000X Pediatrics (Licence: FL ME151783) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME151783) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME151783) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 288685) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA MD482937) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NY 288685) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-01-11 |