| NPI | 1730279068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-9796) |
| 207R00000X Internal Medicine (Licence: TX H4499) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX H4499) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-01-10 |