| NPI | 1710374194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 308865) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: LA 308865) |
| 207R00000X Internal Medicine (Licence: LA 308856) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-07-02 |