| NPI | 1598228744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T3277) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX T3277) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-07-22 |