| NPI | 1609433127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD70013912) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.250900) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-11-04 |