| NPI | 1174979157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME140899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 75028181) |
| 207R00000X Internal Medicine (Licence: OH 57028181) | |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME140899) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-03-02 |