| NPI | 1629235536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME108173) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.011576) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2010-09-07 |