| NPI | 1437141595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MT 6260) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MT 6260) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-07-19 |