| NPI | 1023293933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 29021) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI 15222) |
| 207L00000X Anesthesiology (Licence: CO 47956) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2014-01-30 |