| NPI | 1043204639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 043768) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: GA 043768) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2023-03-07 |