| NPI | 1467106625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 297510-01) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NY 297510-01) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-09-14 |