| NPI | 1649632415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 25895) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MS 25895) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-03-15 |