| NPI | 1255422598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME103322) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 23848) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME103322) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-05-21 |