| NPI | 1871733121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 39002779A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P2163) |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: TX P2163) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2022-10-15 |