| NPI | 1164696829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 005213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.001703) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA OS014487) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2011-02-22 |