| NPI | 1881650885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-086281) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 43946) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.086281) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-03-08 |