| NPI | 1457331415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME111613) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL 89992241) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-06-22 |