| NPI | 1205043262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60013224) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2006-01921) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2011-03-01 |