| NPI | 1710983226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD29099) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35092779) |
| 207L00000X Anesthesiology (Licence: MO 119456) | |
| 207L00000X Anesthesiology (Licence: MI 430106542) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2025-01-22 |