| NPI | 1134346083 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD445649)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD445649)  | 
| Enumeration Date | 2007-04-20 | 
| Last Update Date | 2024-05-30 |