| NPI | 1841450632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.138484) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 52691) |
| 208D00000X General Practice (Licence: MO 2009022068) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2022-10-17 |