| NPI | 1063836005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MS 23695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23695) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2021-06-29 |