| NPI | 1457399719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301063375) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.137402) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-08-28 |