NPI | 1063867398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.150986) |
Additional Taxonomies | 208D00000X General Practice (Licence: PA MD469499) |
Enumeration Date | 2016-04-23 |
Last Update Date | 2024-08-04 |