| NPI | 1760977573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 340350) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: LA 340350) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-10-20 |