| NPI | 1306047469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine Obesity Medicine (Licence: MO 107139) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 107139) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-01-09 |