| NPI | 1063625614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102205492) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 37592) |
| 207L00000X Anesthesiology (Licence: KY 03266) | |
| 207L00000X Anesthesiology (Licence: NC 2014-02118) | |
| 207L00000X Anesthesiology (Licence: GA 73098) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-11-22 |