| NPI | 1225290760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60834255) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 23254) |
| 207L00000X Anesthesiology (Licence: WI 53194) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-12-04 |