| NPI | 1972815231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080B0002X Pediatrics, Obesity Medicine (Licence: NY 270333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197040) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2020-07-29 |