| NPI | 1912926767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA G87869) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G87869) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-07-30 |