| NPI | 1770044505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 19592) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA 20A19592) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-11-07 |