| NPI | 1003078148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: WY 9074A) |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: WY 9074A) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-01-03 |