| NPI | 1194897975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD467387) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY TP850) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-11-02 |