| NPI | 1295722825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L8410) |
| Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine (Licence: TX L8410) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-06-14 |