| NPI | 1104802131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 04087) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 03062) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2019-05-14 |