| NPI | 1770043820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.149761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.247476) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-03-06 |