| NPI | 1104806355 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 16127) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 113755) | 
| Enumeration Date | 2006-01-21 | 
| Last Update Date | 2017-01-13 |