| NPI | 1457562720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101253266) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101253266) |
| 207L00000X Anesthesiology (Licence: OH 57.010479) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-02-07 |