NPI | 1033739040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 2023-01867) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125077001) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-10-10 |