| NPI | 1629218086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.137155) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 051220) |
| 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: CT 51220) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2019-09-18 |