| NPI | 1922006782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301514162) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35065487) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2025-07-17 |