| NPI | 1376639104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-088789) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 22477) |
| 207L00000X Anesthesiology (Licence: PA MD423793) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35.088789) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-12-23 |