NPI | 1467621953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA MD435008) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD435008) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2023-06-02 |