| NPI | 1265870935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 62250) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: AZ 62250) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2026-08-24 |