| NPI | 1710088455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD420497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD420497) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-09-10 |