| NPI | 1780684191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101236469) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 0101236469) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-07-31 |