| NPI | 1619952918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C195320) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: LA 301880) |
| 207RB0002X Internal Medicine Obesity Medicine (Licence: LA 301880) | |
| 208000000X Pediatrics (Licence: FL ME147006) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2024-06-21 |