| NPI | 1992968853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME137622) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 89982967) |
| 207Q00000X Family Medicine (Licence: VA 0116019794) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-03-10 |