| NPI | 1275818353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 263152) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 263152) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-02-20 |