| NPI | 1962594457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD448572) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD448572) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD448572) | |
| 174400000X Specialist (Licence: MD D46581) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-03-11 |