| NPI | 1740646181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1013709) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: AL 37486) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: MA 1013709) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-08-01 |