| NPI | 1538696646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: WA MD61112257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61112257) |
| 207Q00000X Family Medicine (Licence: PA MD471987) | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-07-17 |