| NPI | 1912994419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 36910) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: KY 36910) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2023-02-07 |