NPI | 1902109762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD4434214) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD4434214) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2025-04-02 |