| NPI | 1992265524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA 61419354) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 58.030751) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-06-14 |