| NPI | 1154718823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101282479) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 320552) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-07-02 |