| NPI | 1265499495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MA 1016078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 15176) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-10-17 |