| NPI | 1629657879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CT 81394) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 338872) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-04-14 |