| NPI | 1588977813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OH 35.130148) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 45896) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2017-01-04 |