| NPI | 1225665144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D100295) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.248858) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-05-01 |