| 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 | 2023-03-29 |