| NPI | 1073086344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA 55553) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |