| NPI | 1093970766 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 43833) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 003161) | 
| 207L00000X Anesthesiology (Licence: WI 100498) | |
| 207L00000X Anesthesiology (Licence: CA C169056) | |
| 208VP0000X (Licence: NY 003161) | |
| Enumeration Date | 2008-07-22 | 
| Last Update Date | 2023-08-24 |