NPI | 1598362709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine (Licence: NY 322046) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 322046) |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NC 2023-00717) | |
208D00000X General Practice (Licence: CA A167068) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL) | |
Enumeration Date | 2020-10-01 |
Last Update Date | 2023-10-08 |