| NPI | 1376538314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME87259) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME87259) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-05-03 |