NPI | 1477055986 |
---|---|
Former Name | SHARON RENEE CANTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.017246) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34.017246) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2024-07-24 |