NPI | 1679702294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.056829) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35056829) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2023-03-01 |