| NPI | 1982887493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: TX M8193) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: GA 112023) |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: CA 206758) | |
| 202D00000X Integrative Medicine (Licence: MD D0105958) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX M8193) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: MD D0105958) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: VA 0101289204) | |
| 202D00000X Integrative Medicine (Licence: KY 61731) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: OH 35.154137) | |
| 202D00000X Integrative Medicine (Licence: CA 206758) | |
| 202D00000X Integrative Medicine (Licence: VA 0101289204) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: TX M8193) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: KY 61731) | |
| 202D00000X Integrative Medicine (Licence: OH 35.154137) | |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: GA 112023) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2026-05-18 |