| NPI | 1164461604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA 3162) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH NA07270) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-10-01 |