NPI | 1851882344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: WI 75106) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 75106-21) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2023-12-26 |