| NPI | 1134784796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.016761.MIL) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102206367) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2026-03-18 |