| NPI | 1093817272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 46763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35067632) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: KY 46763) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35-067632) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-01-23 |