NPI | 1821148610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 047548) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 50145-020) |
208000000X Pediatrics (Licence: IL 036115080) | |
2080B0002X Pediatrics, Obesity Medicine (Licence: CT 047548) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2023-05-08 |