| NPI | 1235181579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OK 5912) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 45995) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: MN 53690) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-07-28 |