| NPI | 1174976641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301110687) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5315077815) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-06-30 |