| NPI | 1013973619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 151834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35085952) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2021-07-08 |