| NPI | 1487148029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.142104) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.245795) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-07-19 |