| NPI | 1912198037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 62249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-233701) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CT 62249) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-11-09 |