| NPI | 1265842900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 2018-01053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 268011) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: NY 268011) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: CT 667799) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 0102206136) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2024-05-20 |