| NPI | 1770933848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101022495) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MI 89998146) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-12-05 |