| NPI | 1003179326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: WV 25811) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 25811) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-12-11 |