| NPI | 1336170851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35.048938) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35.048938) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.048938) | |
| 208D00000X General Practice (Licence: OH 35.048938) | |
| 202C00000X Independent Medical Examiner (Licence: OH 35.048938) | |
| 209800000X Legal Medicine (Licence: OH 35.048938) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-01-24 |