| NPI | 1629047659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22391) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL 85855434) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-07-15 |