| NPI | 1306290127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.134926) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA11048600) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.134926) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-07-20 |