NPI | 1457607681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH RN.396648) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH RN.396648) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2019-11-08 |