NPI | 1306047469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MO 107139) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 107139) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2019-01-09 |