| NPI | 1548796634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.142908) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4351034153) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2021-08-05 |