| NPI | 1346313897 |
|---|---|
| Former Name | SHARON BETH LOUTENSOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.082821) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35082821) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-12-29 |