| NPI | 1710096649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology Pediatric Anesthesiology (Licence: OH 35.074861) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 29721) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-03-03 |