| NPI | 1023105764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60175673) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 0420011618) |
| 207L00000X Anesthesiology (Licence: NH RT 1360) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-11-02 |