| NPI | 1326770900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34.018829) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 125.081038) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-07-27 |