| NPI | 1104891944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 3504789OH) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35047890) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35047890) | |
| 208D00000X General Practice (Licence: OH 35047890) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-11-01 |