| NPI | 1124559190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 57428) |
| Additional Taxonomies | 208800000X Urology (Licence: KY R4578) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-05-08 |