| NPI | 1689315913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX V7013) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX V7013) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-05-19 |