| NPI | 1760477111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME98416) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35043446M) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2012-08-30 |