NPI | 1356338958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101015461) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MI 5101015461) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2021-08-31 |