| NPI | 1215590146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine Obesity Medicine (Licence: SC MD82686) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL82686) |
| 207Q00000X Family Medicine (Licence: SC MD82686) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-02-08 |