| NPI | 1104267582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.122182) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.122182) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.122182) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2016-03-09 |