| NPI | 1073807418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 16404) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD451187) |
| 207L00000X Anesthesiology (Licence: PA MT199586) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-04-11 |