| NPI | 1063456085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C174946) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 26993) |
| 207L00000X Anesthesiology (Licence: MI 4301067559) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-02-08 |