| NPI | 1053396184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 23404) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 9900205) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 9900205) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-09-22 |