| NPI | 1104116052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD471757) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0116023229) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-10-14 |