| NPI | 1386803138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LA0401X Anesthesiology Addiction Medicine (Licence: OH 35.061450) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: OH 35.061450) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2016-11-14 |