| NPI | 1831623149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS019525) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA Ot017571) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA OS019525) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2022-09-07 |