| NPI | 1417130485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3808) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX N3808) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: TX N3808) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2023-06-07 |