| NPI | 1720343577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.143749) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 35.143749) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2026-05-21 |