| NPI | 1891756540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-054271) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35054271T) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35054271T) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-08-13 |