| NPI | 1891825279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD 200256) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: LA 200256) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-05-20 |