| NPI | 1104827294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 45355) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD.MD.60001654) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2023-10-11 |