| NPI | 1710355706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277268) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MA 277268) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2026-06-15 |