NPI | 1457331415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME111613) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL 89992241) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2025-06-22 |