| NPI | 1477864262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 120646) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OH 35.120646) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2026-01-15 |