NPI | 1245329622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 211086) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 211086) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2012-03-14 |