| NPI | 1205052594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301090332) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101241421) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-04-30 |