NPI | 1497381495 |
---|---|
Former Name | RACHELLE DIANA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 202D00000X Integrative Medicine (Licence: CA A176859) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A176859) |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A176859) | |
Enumeration Date | 2020-03-21 |
Last Update Date | 2025-08-06 |