| NPI | 1073048831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102206562) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT017647) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2021-07-01 |