| NPI | 1780973057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 89985562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275609-1) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-07-05 |