| NPI | 1215565213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12789100) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 25MA12789100) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-09-30 |