NPI | 1871733121 |
---|---|
Former Name | ELISE YASMEEN SADOUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2163) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 39002779A) |
2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX P2163) | |
Enumeration Date | 2009-02-26 |
Last Update Date | 2024-12-11 |