| NPI | 1205194792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 274197) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.059197) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2018-07-02 |