| NPI | 1942738240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX S4483) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: TX S4483) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2024-03-19 |