| NPI | 1841592953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 34.017052) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA70) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2024-03-12 |