| NPI | 1659048908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 67.000419) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 11737) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-09-09 |