| NPI | 1922622497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 57.255976) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125.076674) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-06-17 |