| NPI | 1811945959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MA 276531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 45709) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 35.076850) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-08-10 |