| NPI | 1861710733 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-132615)  | 
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036-132615)  | 
| Enumeration Date | 2010-05-17 | 
| Last Update Date | 2025-05-08 |