| NPI | 1710209630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.126757) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 54057-20) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2015-07-13 |