| NPI | 1326145137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.072663) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01052952) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-12-21 |