| NPI | 1053596767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 57.013438) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011020462) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2012-01-17 |