| NPI | 1700406774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 350021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U5134) |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: LA 350021) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2026-06-01 |