| NPI | 1285888974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35122610) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 237683) | 
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.122611) | |
| Enumeration Date | 2008-11-08 | 
| Last Update Date | 2016-10-03 |