| NPI | 1083666564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA MD54457) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G78573) |
| 207L00000X Anesthesiology (Licence: WI 68903) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-05-27 |