| NPI | 1942611280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200744) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NC 200744) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-08-10 |