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 |