NPI | 1003007741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.088823) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35088823) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2024-12-17 |