| NPI | 1730471590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 124182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17250) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA 124182) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2026-05-25 |