| NPI | 1104062173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A10625) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A10625) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA 20A10625) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2025-11-17 |