| NPI | 1497912604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 2016-01492) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 1992372403) |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA11643800) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2016-01492) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 319255) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD443258) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 1043889967) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 72803) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-02-07 |