| NPI | 1194739623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101017171) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601003222) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-02-07 |