| NPI | 1063778520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A141568) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 141568) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-12-03 |