| NPI | 1477348662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA SW142300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW142300) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |