| NPI | 1215374152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-42158) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IA MD-42158) |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2026-06-03 |