NPI | 1447379367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD436306) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225820) |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD436306) | |
208000000X Pediatrics (Licence: NY 225820) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2017-12-26 |