| NPI | 1104037167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 21915) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.203567) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-06-01 |