| NPI | 1962493684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00048999) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: WA MD00048999) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-02-10 |