| NPI | 1124123419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: OH 34.003893) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: OH 34003893) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-02-05 |