| NPI | 1902429103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MA 1028274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 709516) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2026-07-31 |