NPI | 1760988406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MI 5101025999) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101025999) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2025-01-28 |