| NPI | 1437227519 |
|---|---|
| Former Name | MARIBETH LYNN MALBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: KS 05-31270) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0531270) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-08-26 |