| NPI | 1760414338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102205392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00404) |
| 207R00000X Internal Medicine (Licence: VA 0102205392) | |
| 207R00000X Internal Medicine (Licence: PA OS013453) | |
| 208000000X Pediatrics (Licence: NC 2015-00404) | |
| 208000000X Pediatrics (Licence: PA OS013453) | |
| 2080B0002X Pediatrics Obesity Medicine (Licence: NC 2015-00404) | |
| 2080B0002X Pediatrics Obesity Medicine (Licence: VA 0102205392) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-08-07 |