| NPI | 1073771689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301102439) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 40374) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: MI 4301102439) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-07-20 |