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 |