| NPI | 1962677179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-02031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.011147) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2019-08-01 |