| NPI | 1629346408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA OS017397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 11-6037195) |
| 207Q00000X Family Medicine (Licence: PA OS017397) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2023-07-10 |