| NPI | 1760781363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-059888) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.059888) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OH 35.059888) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2024-03-28 |