| NPI | 1851591879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: ID M-8944) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: ID M-8944) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2025-09-18 |