| NPI | 1174818983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2016012566) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: IL 125.057792) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-08-08 |