NPI | 1699716589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IL 036114453) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-114453) |
207P00000X Emergency Medicine (Licence: IL 036-114453) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2025-02-24 |