| NPI | 1114997988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QD0401X (Licence: OR D022452) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OR D022452) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-12-30 |