| NPI | 1063599371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX M0872) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M0872) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX M0872) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-02-16 |