| NPI | 1699858316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 350749904) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35074990) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35074990) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2019-05-17 |