NPI | 1780117655 |
---|---|
Former Name | REBECCA DRUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 2022-01884) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS16860) |
207Q00000X Family Medicine (Licence: NC 2022-01884) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2023-03-17 |