| NPI | 1821329491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 28597) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 51142) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |