| NPI | 1700940988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 79686) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.079686) |
| 207L00000X Anesthesiology (Licence: PA MD-064893-L) | |
| 207L00000X Anesthesiology (Licence: MD 69641) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-11-12 |