| NPI | 1174652275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.42647) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME113587) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME113587) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2025-08-20 |