| NPI | 1003891136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042-0011142) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200500565) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |