| NPI | 1477680130 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4467) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35088927) | 
| Enumeration Date | 2007-02-28 | 
| Last Update Date | 2022-08-08 |