| NPI | 1336720994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 35.153050) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.252680) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2026-07-21 |