| NPI | 1083802466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO1369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 045439) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2015-08-12 |