| NPI | 1578890422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL OS14974) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO2948) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS016808) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: FL UO2948) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0102206962) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 0102206962) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA OS016808) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL OS14974) | |
| 207R00000X Internal Medicine (Licence: PA OT013207) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2022-11-03 |