NPI | 1265497499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34201) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: KY 34201) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2023-03-07 |