| NPI | 1750910469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MO 2023028719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2023028719) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MO 2023028719) | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2024-01-05 |