| NPI | 1659332872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35087221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 20869) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-03-12 |