| NPI | 1154317931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 10733) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35056317) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |