| NPI | 1205178548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 55510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301104982) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2021-07-29 |