| NPI | 1962618611 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.086964)  | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M9681)  | 
| Enumeration Date | 2007-05-16 | 
| Last Update Date | 2008-08-26 |