| NPI | 1417057779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024038766) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-116148) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036116148) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-12-13 |