| NPI | 1972524759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 198305) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 198305) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-09-24 |