| NPI | 1114963113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP61607364) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101012053) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2025-01-03 |