NPI | 1417057779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036116148) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116148) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-02-07 |