| NPI | 1194994681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX N3706) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58. 001534) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2022-04-26 |