| NPI | 1629267828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.097529) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.097529) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2018-07-02 |