| NPI | 1104010511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 256782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 256782) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD432625) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-11-26 |