| NPI | 1073626859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME37967)  | 
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME37967)  | 
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME37967)  | |
| Enumeration Date | 2006-08-16 | 
| Last Update Date | 2025-02-21 |