| NPI | 1205877800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 200601640) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 02756) |
| 207L00000X Anesthesiology (Licence: GA 033561) | |
| 207L00000X Anesthesiology (Licence: OK 2856) | |
| 207L00000X Anesthesiology (Licence: MS 13461) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-07-28 |