| NPI | 1134121775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX L1352) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX L1352) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2017-11-13 |