| NPI | 1972773208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 50055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.093005) |
| 207L00000X Anesthesiology (Licence: KY 42523) | |
| 207L00000X Anesthesiology (Licence: OH 57.009880) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-02-10 |