| NPI | 1275584724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME100602) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME100602) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-06-08 |