NPI | 1023203080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C158984) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 52090) |
207QB0002X Family Medicine, Bariatric Medicine (Licence: CA C158984) | |
Enumeration Date | 2007-09-12 |
Last Update Date | 2020-06-29 |