| NPI | 1720293558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD441942) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD441942) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-10-05 |