NPI | 1043522402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449449) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197025) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: PA Md449449) | |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA MD449449) | |
Enumeration Date | 2010-07-13 |
Last Update Date | 2022-03-14 |