| NPI | 1871988675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.150836) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101269313) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-11-13 |