| NPI | 1750516621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 34.010244) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.010244) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2025-11-06 |