| NPI | 1255569828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.127875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003557) |
| 207L00000X Anesthesiology (Licence: PA MT202611) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2016-05-04 |