| NPI | 1780078212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35135326) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.025965) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2019-06-04 |