| NPI | 1023049657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS008048L) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MA 246455) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-03-04 |