| NPI | 1912988684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: OH 34-006816-R) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34-006816-R) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: OH 34-006816-R) | |
| 207PT0002X Emergency Medicine Medical Toxicology (Licence: OH 34-006816-R) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: OH 34-006816-R) | |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: OH 34-006816-R) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OH 34-006816-R) | |
| 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: OH 34-006816-R) | |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: OH 34-006816-R) | |
| 209800000X Legal Medicine (Licence: OH 34-006816-R) | |
| OH (Licence: 19 STATE OF OHIO MEDICA) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-03-07 |