| NPI | 1821240904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60155686) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: WA MD60155686) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-12-17 |