| NPI | 1730575952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD25097) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 25MA10799000) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-09-09 |