| NPI | 1053799270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO214171) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: GA 85610) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: OR DO214171) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-06-27 |