NPI | 1861734006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A150868) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A150868) |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A150868) | |
Enumeration Date | 2013-03-26 |
Last Update Date | 2022-01-27 |