| NPI | 1588836381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 03324) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 02005832A) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IN 02005832A) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-02-28 |