| NPI | 1114967015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101036083) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D44071) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-01-22 |