NPI | 1225056112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CO 45137) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO 45137) |
207RP1002X Internal Medicine, Physician Nutrition Specialist (Licence: CO 45137) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2025-09-09 |