| NPI | 1073727798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME120349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.011578) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-11-22 |