| NPI | 1740217801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900644) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9900644) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 9900644) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NC 9900644) | |
| 171100000X Acupuncturist (Licence: NC 9900644) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2016-01-06 |