| NPI | 1427150424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35-080261) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-080261) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35080261) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: OH 35080261) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-01-07 |