| NPI | 1548624919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: AZ 008042) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 6666666) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-02-08 |