| NPI | 1174521504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35072050) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35072050) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: OH 35072050) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-10-30 |