| NPI | 1225412109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD465343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD465343) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-02-14 |