| NPI | 1750383840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MI 4301064257) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 20206) |
| 207R00000X Internal Medicine (Licence: VA 0101236278) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2019-07-09 |