| NPI | 1477674331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301083747) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.142010) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-05-27 |