| NPI | 1063466506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 063124) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 35472) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-03-15 |