NPI | 1437202355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX M5230) |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX M5230) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2024-12-06 |