| NPI | 1861734006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150868) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A150868) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A150868) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-01-27 |