NPI | 1487945267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MA 276667) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 268419) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 268419) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MA 276667) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2018-08-10 |