| NPI | 1023203080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C158984) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 52090) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA C158984) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-06-29 |