| NPI | 1629012406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 41369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35060495) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-03-18 |