| NPI | 1396188348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64167-20) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: WI 64167-20) |
| 207Q00000X Family Medicine (Licence: IN 01077349A) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-08-13 |