| NPI | 1235603226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 95008398) |
| Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine (Licence: CA 95008389) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |