| NPI | 1366762650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: AZ 47650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 47650) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-06-04 |