| NPI | 1023219862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9779) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TX M9779) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-07-21 |