NPI | 1396188348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 64167-20) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: WI 64167-20) |
207Q00000X Family Medicine (Licence: IN 01077349A) | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2019-08-13 |