| NPI | 1992735013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 2005-01101) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200501101) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-10-28 |