| NPI | 1619126208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 261144) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 207L00000X) |
| 207L00000X Anesthesiology (Licence: OH 35-092622) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2018-04-04 |