| NPI | 1972616035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35.090751) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.090751) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: OH 35.090751) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-02-10 |