| 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 |