| NPI | 1801121991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.050843) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.050843) |
| 207Q00000X Family Medicine (Licence: OH 50843) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2024-02-28 |