| NPI | 1063602431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.202681) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2011-00769) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2012-10-23 |