| NPI | 1306290952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 0000059797) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.028464) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-08-11 |