| NPI | 1326176298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60937780) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: WA OP60937780) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2021-04-16 |