| NPI | 1912227083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: WV 26987) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 201402102) |
| 208600000X Surgery (Licence: NM MD2014-0777) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2014-0777) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2022-04-15 |