| NPI | 1801172556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35-128390) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OH 35-128390) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.128390) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-12-11 |