NPI | 1063836005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL 23695) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 23695) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2025-09-30 |