| NPI | 1275540577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 009652) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 2106) |
| 207P00000X Emergency Medicine (Licence: WV 2106) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-01-09 |