| NPI | 1720027675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 35878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35084433) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 35878) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.084433) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-09-15 |