| NPI | 1043259971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: OH 35.096133) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A78127) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.096133) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-10-17 |