| NPI | 1003834649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01052521) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: KY 41076) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-07-20 |