| NPI | 1801121991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.050843) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35050843) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2025-03-11 |