| NPI | 1790761831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.093999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301081404) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2017-05-30 |