| NPI | 1114213816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 26412) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 26412) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-12-07 |