| NPI | 1225112410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34-005925) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA 05010122L) |
| 207L00000X Anesthesiology (Licence: MI 5101009972) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |