| NPI | 1790246833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.143603) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.143603) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-10-06 |