| NPI | 1003826066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 218616) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NY 218616) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 218616) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-04-28 |