| NPI | 1063774461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 2015-00838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MD40316) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: SC MD40316) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-12 |