| NPI | 1811429459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: WI 70713) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 70713) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2025-06-04 |